2022-2023 IMG Playroom registration form

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Please fill out a form for each child using the Playroom. Our Playroom is staffed by 2 women who have had a professional background check. In addition, each week at least 1 mom from IMG will volunteer in the playroom, and we ask that you sign up once a term. If your child has a runny nose, fever, cough, or any other symptom of Covid-19, we ask that you please stay home. We will be following OSU's guidelines for Covid-19 safety, as well as state and local measures.

Child's First Name: *

Child's Last Name: *

Mother's First Name: *

Mother's Last Name: *

Mother's phone number: *

Is your child toilet trained or in diapers? (The playroom helpers will come get you if your child needs a diaper change.) *

Toilet-trained

In Diapers

We provide snacks during the meeting. Can your child have a snack? *

Yes

Does your child have any food allergies, dietary restrictions, special needs, or other concerns?

Submit

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